Open AccessCurrent Concepts in the Diagnosis and Treatment of Shoulder Impingement
Author(s) -
Bijayendra Singh,
Nik Bakti,
Abhinav Gulihar
Publication year - 2017
Publication title -
indian journal of orthopaedics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.434
H-Index - 33
eISSN - 1998-3727
pISSN - 0019-5413
DOI - 10.4103/ortho.ijortho_187_17
Subject(s) - medicine , rotator cuff , bursitis , tendinopathy , shoulder impingement syndrome , rotator cuff injury , etiology , physical therapy , subacromial impingement , pain syndrome , physical medicine and rehabilitation , tendon , surgery , pathology
Subacromial impingement syndrome (SIS) is a very common cause of shoulder pain in the young adults. It can cause debilitating pain, dysfunction, and affects the activities of daily living. It represents a spectrum of pathology ranging from bursitis to rotator cuff tendinopathy which can ultimately lead to degenerative tear of the rotator cuff. Various theories and concepts have been described and it is still a matter of debate. However, most published studies suggest that both extrinsic and intrinsic factors have a role in the development of SIS. The management is controversial as both nonoperative and operative treatments have shown to provide good results. This article aims to provide a comprehensive current concepts review of the pathogenesis, etiologies, clinical diagnosis, appropriate use of investigations, and discussion on the management of SIS.